Application for Gift Membership 

I would like to give EVU membership to:
 

Name   
 
.........................................................................................

Address for correspondence

Street

Post code, City

Country

Telephone

Fax

Email
  
.........................................................
 
 ........................................................
 
 ........................................................
 
 ........................................................
 
 ........................................................
 
 ........................................................



Type of membership 
   Individual Membership (25,00 € / 37,50 CHF per year)

   Family Membership (30,00 € / 45,00 CHF per year)

   Life Membership (250,00 € / 375 CHF)

 
Length of
membership 		   from 01.01.20..... for one year       

   from 01.01.20..... for ....... years

   from 01.01.20..... unlimited
 
I will pay the membershio fee of  ............ €  to the following bank account:

European Vegetarian Union (EVU)
Kreissparkasse Kaiserslautern
IBAN: DE85 5405 0220 0000 9991 51
BIC: MALA DE 51 KLK

Once the membership fee has been received, the gift certificate will be sent to the recipient.

     
 
 
Date ...............................                                     Signature .....................................................

The gift is from:

Surname, Fist name:

Street:

Postcode, Town:

Country:

Tel /Email:
 
 Please print this form out and send it to us at:

 European Vegetarian Union

 Hildegund Scholvien (Treasurer), Friedhofstraße 12, D-67693 Fischbach (Germany)

hildegund.scholvien@euroveg.eu
Fax +49-6305-5256